Active NPI
Luisa Sandoval, M.D.
- Pediatrics Physician
- Palo Alto, CA
National Provider Identifier
1538554308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 183253
- Practice address
- 3145 Porter Dr RM B119
Palo Alto, CA 94304-1234 - Phone
- (650) 725-8995
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29739 | NE | |
| Pediatrics Physician | 208000000X | 183253 | CA | Primary |
Addresses
Primary practice location
3145 Porter Dr RM B119
Palo Alto, CA 94304-1234
Mailing address
3145 Porter Dr RM B119
Palo Alto, CA 94304-1234
Other practice location 1
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 522-4770
Other practice location 2
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-5323
Other practice location 3
3551 Roger Brooke Dr
Pediatric Residency Program
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-9928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181128001023 | OH | Order and Referring Only - Pediatric Medicine | 5799029054 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183253 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1538554308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 PORTER DR RM B119",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 PORTER DR RM B119",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041234",
"telephone_number": "650-725-8995"
}
],
"practiceLocations": [
{
"address_1": "4881 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Wright Patterson AFB",
"state": "OH",
"postal_code": "454335529",
"country_code": "US",
"telephone_number": "937-522-4770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Bodin Cir",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "945351809",
"country_code": "US",
"telephone_number": "707-423-5323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_2": "Pediatric Residency Program",
"address_purpose": "LOCATION",
"city": "Jbsa Ft Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-9928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "LUISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "29739",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "183253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.